Aged and Disabled Waiver (ADW) for ages 18+
To begin the application process, you must fill out a Medical Necessity Evaluation Request (MNER) form. Have your doctor (doctor of medicine (MD) or doctor of osteopathic medicine (DO)), physician’s assistant, or nurse complete, sign and submit it to:
Kepro-ADW
1007 Bullitt Street, Suite 200
Charleston, WV 25301
Fax: 866-212-5053
If you have questions about the application, please call the West Virginia Bureau of Senior Services at
1-866-767-1575.
Children with Serious Emotional Disorders Waiver (CSEDW) for ages 3-21
The application process begins by calling the WV Crisis and Referral line at
844-Help4WV. A family member can contact this line for assistance with any crisis situation.
You may submit your completed CSEDW application form via mail, fax, or email:
Mail: Kepro – 1007 Bullitt St. Suite 200 Charleston, WV 25301
Fax: (866) 473-2354
Email:
wvcsedw@kepro.com
Intellectual/Developmental Disabilities Waiver (IDDW) for ages 3+
To begin the application process, submit your completed IDDW application form via mail, fax, or email:
Mail: Kepro – 1007 Bullitt St. Suite 200 Charleston, WV 25301
Fax: (866) 521-6882
Email:
wviddwaiver@kepro.com
Traumatic Brain Injury Waiver (TBIW) for ages 3+
To begin the application process, you must fill out a Medical Necessity Evaluation Request (MNER) form. Have your doctor (MD or DO), physician’s assistant, or nurse complete, sign, and submit it to:
Kepro
1007 Bullitt Street Suite 200
Charleston, WV 25301
Toll-Free:
1-866-385-8920
Fax: 1-866-607-9903